Hip fracture: management

Resource impact statement

No significant resource impact is anticipated

The 2023 version of the NICE guideline on hip fracture: management updates and replaces the former version published in 2011 and updated previously in 2017. The updated guidance reviewed the evidence on total hip replacement versus hemiarthroplasty and on femoral component design used for hemiarthroplasties.

We do not expect this update to have a significant impact on resources; that is:

• the resource impact of implementing any single guideline recommendation in England will be less than £1 million per year (or approximately £1,800 per 100,000 population, based on a population for England of 56.3 million people) and
• the resource impact of implementing the whole guideline in England will be less than £5 million per year (or approximately £9,000 per 100,000 population, based on a population for England of 56.3 million people).

Where clinical practice changes as a result of this update to the previous NICE guideline, there will not be a significant change in resource use.

This is because recommendations 1.6.5 to 1.6.7 on the type of prosthetic used are not expected to result in a significant change in practice as they will allow organisations to use their preferred prosthetic. The updated recommendation 1.6.3 on hemi versus full arthroplasty is not expected to lead to a significant change in the rates at which the procedures are performed. The updated recommendation places a greater emphasis on patient and surgeon choice of whether to perform hemi or full arthroplasty based on how likely the patient is to benefit from full arthroplasty.

Hip fracture services are commissioned by integrated care systems. Providers are NHS hospital trusts.

ISBN: 978-1-4731-4926-7